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Personal Web home pages of adolescents with cancer: self-presentation, information dissemination, and interpersonal connection.

The content of personal Web home pages created by adolescents with cancer is a new source of information about this population of potential benefit to oncology nurses and psychologists. Individual Internet elements found on 21 home pages created by youths with cancer (14-22 years old) were rated for cancer-related self-presentation, information dissemination, and interpersonal connection. Examples of adolescents' online narratives were also recorded. Adolescents with cancer used various Internet elements on their home pages for cancer-related self-presentation (eg, welcome messages, essays, personal history and diary pages, news articles, and poetry), information dissemination (e.g., through personal interest pages, multimedia presentations, lists, charts, and hyperlinks), and interpersonal connection (eg, guestbook entries). Results suggest that various elements found on personal home pages are being used by a limited number of young patients with cancer for self-expression, information access, and contact with peers.

Adaptation, Psychological↗

Genomics meets ethology: a new route to understanding domestication, behavior, and sustainability in animal breeding.

Animal behavior is a central part of animal welfare, a keystone in sustainable animal breeding. During domestication, animals have adapted with respect to behavior and an array of other traits. We compared the behavior of junglefowl and White Leghorn layers, selected for egg production (and indirectly for growth). Jungle-fowl had a more active behavior in social, exploratory, anti-predatory, and feeding tests. A genome scan for Quantitative Trait Loci (QTLs) in a junglefowl x White Leghorn intercross revealed several significant or suggestive QTLs for different traits. Some production QTLs coincided with QTLs for behavior, suggesting that pleiotropic effects may be important for the development of domestication phenotypes. One gene has been located, which has a strong effect on the risk of being a victim of feather pecking, a detrimental behavior disorder. Modern genomics paired with analysis of behavior may help in designing more sustainable and robust breeding in the future.

Animals↗

Helping others when you are hurting: strategies for delivering quality care while dealing with personal bereavement.

Nurse managers are in a strategic position to assist clients, their family members, and other staff in dealing with normal grief and to provide additional assistance if the grief becomes complicated. A variety of strategies can be used by the nurse to assist individuals through the grief process. In some cases, the nurse must deal with personal grief while simultaneously helping others. This article addresses useful strategies for nurses to enhance the delivery of quality care while dealing with personal loss and grief.

Adaptation, Psychological↗

Father-newborn interaction: effects of social competence and infant state.

Indicators of both father and infant social competence were explored as predictors of four types of paternal interaction behavior: touch-affection/comfort, talk-affection/comfort, touch-stimulate, and talk-stimulate. Data collected from 114 father-newborn pairs 2 to 4 days after birth included perceived competence as a father, the infant's orientation and range of state scores on the Brazelton Neonatal Behavioral Assessment Scale, and the infant's behavioral state during a structured paternal-infant interaction. Infant state at the time of interaction was the best predictor, particularly of affection/comforting behavior. Infant orientation scores helped predict touch-stimulating behavior and range of state scores helped predict touch-affectional behavior. Paternal competence was a predictor of stimulating behavior. Results emphasized the importance of considering state behavior when observing fathers interacting with their newborns.

Adult↗

Isolation and identification of two learning-induced brain peptides.

Goldfish were trained either to avoid the blue compartment of a tank and swim into the green compartment or, conversely, to avoid green and prefer blue. Preliminary experiments indicated that acquisition of the avoidance behavior was associated with the presence in the brain of two peptides, one found in blue avoiding (BA), another in green avoiding (GA) fish. With the help of behavioral bioassays, the peptides were isolated and purified, and their structure was determined by ultrasmicroanalytical techniques. The sequence of the BA peptide, pglu-ile-gly-ala-val-phe-pro-leu-lys-tyr-gly-ser-lys-OH was reproduced by synthesis. Sequential analysis of the GA peptide gave two alternative structures, NAc-lys-gly-gln-ile-ala-val-phe-pro-leu-lys-tyr-gly-ser-OH or NAc-lys-gly-ala-val-gln-ile-phe-pro-lys-tyr-gly-ser-OH, both of which are being synthetized to be compared with the natural compound. Overlapping sequences between the BA and GA peptides suggest the existence of a family of peptides associated with behavior based on color discrimination.

Amino Acid Sequence↗

Helping patients cope with chronic alopecia areata.

Helping a patient cope with a frustrating and unpredictable disease like alopecia areata can be a difficult task for many dermatology nurses. Five dermatology nurses who practice in the United States and Canada say that one important resource that should not be overlooked during the course of treatment of alopecia areata is the patient support group. Another major resource is the referral of patients to the National Alopecia Areata Foundation, which coordinates the patient support groups.

Adaptation, Psychological↗

Professional help use among black Americans: implications for unmet need.

Previous findings on black utilization have been largely obtained from racial comparison studies. Little attention has been paid to sociodemographic differences or the social psychological processes that affect help-seeking behavior within the black group. The present study analyzed data obtained from a national probability sample of the black population. A multidimensional contingency table analysis revealed that problems experienced by the lower income group were more serious than those experienced by the upper income group. Low-income respondents were also more likely to state that their personal distress was caused by a physical health problem. Income, however, was not related to the decision to seek professional help. The implications of these findings for understanding black illness behavior and the underutilization of services was discussed.

Adolescent↗

Functional measurement assessment of young children's ability to predict future behavior.

The reported experiments demonstrate that young children's ability to use previous behavioral information to predict future behavior emerges on quantitative, but not dichotomous, judgment tasks. In a first experiment, kindergartners, second graders, and fourth graders made quantitative liking judgments and predictions for peers after being presented 2 pieces of behavioral information. Children of all 3 age groups used both pieces of information in their liking judgments and predictions. In a second experiment, kindergartners were presented with 2 types of tasks; one was a quantitative prediction, comparable to the task in Experiment 1, and the second were dichotomous predictions, comparable to judgment tasks typically used in other experiments. Children's predictions were significantly more consistent with the behavioral information on the quantitative task than on either of the dichotomous tasks. These results suggest that young children believe in the ability of interpersonal behavior, but have difficulty dealing with the complexity of some prediction tasks.

Child↗

African-American physicians and smoking cessation counseling.

While African American physicians can play a key role in encouraging black patients who smoke to quit, little is known about the views and activities of these physicians with respect to antitobacco programming. In the process of developing a protocol for encouraging physicians' smoking cessation intervention, 96 African-American physicians completed a survey indicating their knowledge, attitudes, and practices relating to stop smoking counseling. Few physicians reported patient help-seeking behavior and 47.9% cited lack of patient motivation as a key barrier to intervention. Only 46.8% believed that it is possible to accomplish a lot of cessation help in a few minutes time, and 34.4% believed that setting up and maintaining an office protocol would require a great deal of effort. Explaining health risks (71.9%) and enrolling patients in programs (66.6%) were perceived as keys to patient cessation; fewer than half of the physicians surveyed discuss specific strategies for quitting with their patients. Physicians indicated a willingness to offer more counseling in the future and were open to a range of strategies for learning more about effective approaches. Our findings support the need for dissemination of such information, particularly among specialists, to support antitobacco efforts among African-American physicians.

Adult↗

Impact of eating disorders on family life: individual parents' stories.

AIMS AND OBJECTIVES: The aim of this study was to consider the impact that an eating disorder had on the family, particularly the parents. The objective was to give a voice to parents in order to develop new understandings of their experience leading to more appropriate clinical decision-making. BACKGROUND: The impact of an eating disorder on family life has not been well-documented in the published literature. There are numerous articles from the sufferer's perspective and treatment modalities. The following paper describes a component of a larger study that explored the parent's perspective of having a child with an eating disorder. DESIGN: Nineteen mothers and three fathers from Sydney, Australia, volunteered to be interviewed as the result of advertisements placed in parent support organization newsletters and by using the snowballing technique. METHODS: A qualitative approach using semi-structured interviews was used to explore parents' experiences of having a child/adult child with an eating disorder. Themes were identified through in depth analysis. RESULTS: Themes that were extrapolated from this research included, family unification or disintegration, parent's inability to cope, inconsiderate comments from significant others, social isolation and financial impacts. CONCLUSIONS: This study reports five overarching effects on family life. The authors conclude that one way in which the life of parents and families could be improved would be increased involvement and integration into the treatment process. For this to happen, health professionals would need to acknowledge the family as a resource. RELEVANCE TO CLINICAL PRACTICE: This research documents the family struggle and highlights the current omissions concerning the family's role. The need for changes to clinical practice is substantiated. It requires health professionals to scrutinize their own clinical practice and consider modification of the treatment process.

Adaptation, Psychological↗

What underlies medical donor attitudes and behavior?

Donor attitudes, intentions, and behaviors have typically been conceptualized as organized along a bipolar continuum. This conceptualization is evident in I. G. Sarason et al.'s study of increasing participation in a bone-marrow registry in this issue. When the cumulative research on blood, bone-marrow, and organ donor behavior is considered, however, evidence suggests that a single, bipolar continuum may be insufficient and that a 2-dimensional (Positivity x Negativity) evaluative space may be minimally required to effectively represent and target the underlying substrates of donor behaviors. Negative beliefs and fears may constitute a particularly difficult obstacle to inducing donor behaviors and, thus, to promoting self-perceptions by people as donors. Understanding and changing these negative substrates, therefore, may be important if public health campaigns to increase donor behavior are to be cost-effective.

Attitude to Health↗

Same behavior, different consequences: reactions to men's and women's altruistic citizenship behavior.

In 2 experimental studies, the authors hypothesized that the performance of altruistic citizenship behavior in a work setting would enhance the favorability of men's (but not women's) evaluations and recommendations, whereas the withholding of altruistic citizenship behavior would diminish the favorability of women's (but not men's) evaluations and recommendations. Results supported the authors' predictions. Together with the results of a 3rd study demonstrating that work-related altruism is thought to be less optional for women than for men, these results suggest that gender-stereotypic prescriptions regarding how men and women should behave result in different evaluative reactions to the same altruistic behavior, depending on the performer's sex.

Adult↗

Caregiver-child interactions in Japan, Taiwan, and the United States.

This study reports the results of an investigation of the contact stimulation between caregivers and their children in 409 dyads (38 in Japan; 100 in Taiwan; and 271 in the United States). An instrument was used to record quantitative and qualitative data of the dyads in the three countries. A time-sampling procedure of 1 minute of observation and 1 minute of recording, with a minimum of 15 minutes and a maximum of 30 minutes, per dyad was used for data collection. The findings indicate significant differences at the p = 0.0001 level among the three cultural groups on the following variables: proximity, clothing, soothing, playing with the child, reading to the child, holding the child, and behavior toward a sleeping child.

Analysis of Variance↗

Empowering versus enabling in academia.

The literature endorses empowered nurses as essential to changing not only the nursing profession but also the current health care system. Nurse educators have embraced the concept of empowering students. However, faculty frequently enable students rather than empower them in both clinical and classroom settings. This article describes the difference between enabling and empowering. Collegiality, communication, accountability, and autonomy are components of a model used to compare empowering versus enabling in the academic setting. Nurse educators will become aware of behaviors that sabotage the empowerment of students. Strategies designed to facilitate students' development of empowering behaviors will be provided throughout the article.

Codependency, Psychological↗

Social adjustment and alcoholism among Chinese immigrants in New York City.

Based upon the patient files (N = 132) maintained by the Chinatown Alcoholism Services (CAS), interviews with CAS staff, and the clinical experience of the authors with Chinese alcoholics, this paper describes the social contexts of alcoholism among a group of working-class Chinese males in New York City. It focuses on the relationship between social adjustment and drinking behaviors, and analyzes the meaning of alcohol use and abuse within the ethnic community. The paper also examines the role of significant others in the alcoholics' drinking and help-seeking behaviors. Finally, treatment and research issues pertaining to alcoholism among the Chinese are discussed.

Acculturation↗